Nurse Clinician II; RN - ED Galveston

Minimum Qualifications

RN with six months of clinical experience and/or successful completion of probationary NC I period documented on the nursing evaluation tool. Must possess and maintain a current Registered Nurse license or valid permit to practice in Texas. Current BLS required.

• RN
• BLS
• ACLS & PALS/ENPC
• Experienced ED nurses must have upon hire.
• Non‑experienced ED nurses must obtain within 6 months from the date of hire.
• TNCC (Must obtain within 6 months from the date of hire)

Advanced Beginner Clinician. Possesses knowledge and skill necessary to meet nursing standards for professional practice specified in the Texas Nurse Practice Act without supervision. Recognizes when assistance is needed and seeks appropriate resources. Practice is characterized by a balance of dependent and interdependent decision making. Focus is on expanding knowledge and skills for specialty area. Provides patient care through nursing‑based practices upon the American Nurses Association Standards of Professional Practice and Professional Performance.

Values specialty unit, nursing, and institutional strategic initiatives and health system goals.

• Assesses, plans, implements, evaluates, and documents the daily care of assigned patients.
• Identifies nursing diagnoses/patient care needs. Develops and individualises care plan and revises plan of care as needed.
• Executes physician's orders for all assigned patients. Administers medications and treatments and delivers culturally congruent and specialty appropriate competent nursing care in accordance with UTMB's policies, procedures, and standards in a caring and compassionate manner.
• Performs routine technical procedures/skills in specialty area assigned.

• Provides basic patient/family instruction and health‑care teaching based on identified learning needs (patient values, beliefs, barriers, and readiness to learn).
• Identifies potential impact of family dynamics.
• Utilises evidence‑based resources to provide patient/family education.
• Uses Teach‑Back to determine effectiveness and modifies strategies as needed.

• Plans, coordinates, and prioritises patient care activities according to skill level and work complexity.
• Maintains safety and continuity of care using methods such as bedside shift report, hand‑off tools/processes, inter‑disciplinary rounding, etc.
• Demonstrates effective time‑management skills.
• Delegates appropriately, seeking guidance when needed.
• Demonstrates competent use of technology in the delivery of patient care.

• Identifies ethical situations and seeks assistance, if necessary, to resolve.
• Utilises available resources when ethical issues arise.
• Delivers culturally sensitive care using resources to meet the needs of patient/family.
• Serves as a patient advocate, seeking guidance when necessary.

• Supports healthy work environment by demonstrating respectful verbal and non‑verbal communication with all members of the health‑care team. Seeks assistance for support with challenging communication.
• Recognises colleagues when they go above and beyond in demonstrating UTMB’s core values.
• Plans, coordinates, and prioritises patient care activities in collaboration with inter‑professional team.

• Recognises informal and formal unit/hospital leaders and can educate colleagues regarding unit/hospital leadership.
• Recognises unit, nursing, and institutional strategic initiatives and health system goals.
• Recognises the importance of financial responsibility to promote fiscal health for the patient, unit and organization.

• Attends/participates in unit meetings/activities and supports the philosophy and goals of the unit department and organization.
• Participates in shared leadership at the unit level.
• Participates in unit‑based quality improvement activities.
• Attends in‑services and continuing education activities.
• Participates in one journal club annually.
• Completes the…